MEDICARE: FRANKFORD MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	600000885	PA

General Provider Information

NPI Number	:	1720525454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKFORD MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	2939 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2802
Country	:	US
Telephone Number	:	215-423-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2939 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2802
Country	:	US
Telephone Number	:	215-423-3600
Fax Number	:

Authorized Official
Title or Position	:	CPED
Name	:	ORI BALUYAN
Credential	:
Telephone Number	:	717-799-5522

Provider Enumeration Date	:	01/19/2017
Last Update Date	:	01/19/2017

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